ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?
Correct Answer: D
Rationale: A glucose level of 650 mg/dL indicates HHS, characterized by extreme hyperglycemia without significant ketosis. Hypertension, fruity breath, and ketosis are more typical of DKA.
Question 2 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: D
Rationale: Oliguria indicates possible kidney transplant rejection due to impaired function. Normal temperature, weight loss, and insomnia are not specific signs.
Question 3 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Weight gain is common in hypothyroidism due to slowed metabolism. Exophthalmos, diaphoresis, and palpitations are associated with hyperthyroidism.
Question 4 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slow, steady bubbling in the suction control chamber is normal, indicating proper function. The nurse should monitor respiratory status. Clamping, checking suction, or tubing is unnecessary.
Question 5 of 5
What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Tight stockings impair blood flow, skin hygiene is essential, stockings are worn in/out of bed, and proper fit is critical. Once-daily removal is insufficient for skin checks.